Search › Idaho › 222Q00000X
Andrea Russell
NPI 1770342420 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1200 Jaylee Dr Unit 1
Rigby, ID 83442 - Phone
- (208) 419-9383
- Organisation at this address
- Andrea Russell
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 251S00000X
- Sex
- Female
- Record last updated
- 2026-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho